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Peer-reviewed veterinary case report

Detection of Community Transmission of Clade Ib Mpox Virus in the United States.

Journal:
NEJM evidence
Year:
2026
Authors:
Tang, Eric C et al.
Affiliation:
California Department of Public Health · United States

Abstract

AbstractA clade Ib mpox virus (MPXV) outbreak in Central and Eastern Africa has led to multiple travel-associated infections. In October 2025, clade Ib MPXV infection was confirmed in three unvaccinated, hospitalized men in California reporting no international travel. Phylogenetic analysis revealed clustering of these three MPXV infections with one recent travel-associated MPXV infection. This report provides evidence for local transmission of clade Ib MPXV in the Americas, occurring among gay, bisexual, and other men who have sex with men and their social networks.

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Original publication: https://pubmed.ncbi.nlm.nih.gov/41405957/